| NPI | 1629081179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR md24404) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR md24404) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA md00042111) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA md00042111) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2022-01-31 |